Provider Demographics
NPI:1033141700
Name:KOENIG, KAREN R (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:R
Last Name:KOENIG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5011 WINDSOR PARK
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-2612
Mailing Address - Country:US
Mailing Address - Phone:941-379-9849
Mailing Address - Fax:941-379-9849
Practice Address - Street 1:5011 WINDSOR PARK
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235-2612
Practice Address - Country:US
Practice Address - Phone:941-379-9849
Practice Address - Fax:941-379-9849
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW82421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical